Healthcare Provider Details

I. General information

NPI: 1427188846
Provider Name (Legal Business Name): DENISE MARIE ADAME-BAUGE RN BC BSN PHN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/06/2007
Last Update Date: 06/12/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 COLUMBUS ST STE 3000
BAKERSFIELD CA
93305-1936
US

IV. Provider business mailing address

PO BOX 1000
BAKERSFIELD CA
93302-1000
US

V. Phone/Fax

Practice location:
  • Phone: 661-868-8831
  • Fax: 661-868-8317
Mailing address:
  • Phone: 661-868-6601
  • Fax: 661-868-6666

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0807X
TaxonomyChild & Adolescent Psychiatric/Mental Health Registered Nurse
License NumberRN 530439
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: